Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,528.00 / $6,084.00 / $7,424.00	Facility		$2,528.00	$6,084.00	$7,424.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $561.04 / $640.80 / $825.83	Professional		$561.04	$640.80	$825.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $569.75 / $659.44 / $791.33	Professional		$569.75	$659.44	$791.33
HMSA Facility/Professional Professional Modifier Low / Median / High Price $764.43 / $858.86 / $2,540.00	Professional		$764.43	$858.86	$2,540.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $560.26 / $611.20 / $713.06	Professional		$560.26	$611.20	$713.06
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $1,106.00 / $1,106.00	Facility		$1,106.00	$1,106.00	$1,106.00
United Facility/Professional Professional Modifier Low / Median / High Price $484.75 / $659.44 / $846.77	Professional		$484.75	$659.44	$846.77
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $479.83 / $1,610.00 / $3,956.00	Professional		$479.83	$1,610.00	$3,956.00